# THE KIDNEY CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811159718
- **Authorized official:** DR. MAZEN A ABDALLA MD (PHYSICIAN)
- **Authorized official phone:** (678) 344-0334

## Contact information

- **Practice address:** 2386 CLOWER ST STE C105, SNELLVILLE, GA 30078-6107
- **Practice address phone:** (678) 344-0334
- **Practice address fax:** (678) 344-0343
- **Mailing address:** 2386 CLOWER ST, SUITE C-105, SNELLVILLE, GA 30078-6134
- **Mailing address phone:** (678) 344-0334
- **Mailing address fax:** (678) 344-0343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 038414 | GA | Yes |

## Other

- **Enumeration date:** 07/01/2008
- **Last updated:** 07/06/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00612752A | — | GA |
| 01 | — | 1467420893 | NPI FOR MAZEN ABDALLA,MD | GA |